Pezzella, Stephen M

Pezzella, Stephen M is an individual health care provider with primary practice located at 123 Summer St , Worcester MA 01608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pezzella, Stephen M can be contacted via phone (508) 368-3130.

Contact Information

Primary practice address
123 Summer St Worcester MA 01608
Phone: (508) 368-3130
Fax: (508) 368-3133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39310 Massachusetts

Profile Details

NPI number 1770542656
LBN Legal business name Pezzella, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Feb 20th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770542656 NPPES
Other 042472266 PRIVATE HEALTHCARE SYSTEM
Other 918138 PRIVATE HEALTHCARE SYSTEM
Other 042472266 PRIVATE HEALTHCARE SYSTEM
Other 26850 PRIVATE HEALTHCARE SYSTEM
Other 5030238 PRIVATE HEALTHCARE SYSTEM
Other N01759 PRIVATE HEALTHCARE SYSTEM
Other 060047286 PRIVATE HEALTHCARE SYSTEM
Other 2070944 PRIVATE HEALTHCARE SYSTEM
Other N01759 PRIVATE HEALTHCARE SYSTEM
Other N01759 PRIVATE HEALTHCARE SYSTEM
Other N01759 PRIVATE HEALTHCARE SYSTEM
Other 042472266 PRIVATE HEALTHCARE SYSTEM
MEDICAID 2070944 PRIVATE HEALTHCARE SYSTEM
Other 4366873 PRIVATE HEALTHCARE SYSTEM
Other 784067 PRIVATE HEALTHCARE SYSTEM
Other 26856 PRIVATE HEALTHCARE SYSTEM
Other 9900071 PRIVATE HEALTHCARE SYSTEM
Other AA6084 PRIVATE HEALTHCARE SYSTEM

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